Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 17260 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Dstrj Mal Les T A L 0 5 Cm, Destruction Malignant Lesion Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery Surgical Curettement Trunk Arms Or Legs Lesion Diameter 0 5 Cm Or Less
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 76 - Repeat procedure by same physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 17260 |
| Medicaid Fee Schedule | View Medicaid rates for 17260 |
National average reimbursement for CPT 17260 by major payers:
$113.96
$121.13
$125.31
$117.58
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 17260.
CPT 17260
5 of 25 sample ratesHigher to lower in this preview
Greenville Surgery Center, LLC, Texas Health Surgery Center Dallas
Greenville Surgery Center LLC
$1,029.00Published rateGoshen Health Surgery Center, LLC
Goshen Health Surgery Center LLC
$415.00Published rateMohammed Allaw
Deaconess Hospital Inc
$166.19Published rateWake Endoscopy Center, LLC
$102.00Published rateCareplex Orthopaedic Ambulatory Surgery Center, LLC, None
Careplex Orthopaedic Ambulatory Surgery Center LLC
$60.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 17260 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 17260 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 17260 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 17260-CPT | Low | Dstrj Mal Les T A L 0 5 Cm, Destruction Malignant Lesion Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery Surgical Curettement Trunk Arms Or Legs Lesion Diameter 0 5 Cm Or Less |
| 17261-CPT | Low | Dstrj Mal Les T A L 6 1 0cm, Destruction Malignant Lesion Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery Surgical Curettement Trunk Arms Or Legs Lesion Diameter 0 6 To 1 0 Cm |
| 17262-CPT | Low | Dstrj Mal Les T A L 1 1 2 0, Destruction Malignant Lesion Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery Surgical Curettement Trunk Arms Or Legs Lesion Diameter 1 1 To 2 0 Cm |
| 17263-CPT | Moderate | Dstrj Mal Les T A L 2 1 3 0, Destruction Malignant Lesion Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery Surgical Curettement Trunk Arms Or Legs Lesion Diameter 2 1 To 3 0 Cm |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 17260. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 17260 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 17260) and we'll show you how you compare in 15 minutes or less.